Why does the external genital area itch before each menstrual period

Patient's question:

Before each menstrual period, there is itching of the external genitalia, and it also itches afterward. The external genitalia have accumulated fluid. Can medication help with this accumulation?

Doctor's answer:

The possibility of vulvar itching is considered to be caused by a lack of estrogen in the body. Estrogen tablets can be used vaginally to treat vulvar itching, or hydrocortisone cream can be applied to reduce swelling and pain. For edema, medication takes longer to heal, and intravenous anti-inflammatory treatment is more effective. In addition, during the treatment of vulvar itching, besides symptomatic treatment, the patient's dietary condition and psychological state are also particularly important. The patient should try to avoid excessive mental tension and worry to prevent unnecessary interference with the recovery of vulvar itching.

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